2023 Form 5500 filing — Paxton Street Home Benevolent Society, Inc. Employee Benefit Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240702142654NAL0003642291001) for Paxton Street Home Benevolent Society, Inc. Employee Benefit Plan, reported by Paxton Street Home Benevolent Society, Inc. under EIN 23-2179648 and plan number 506. It reports 18 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240702142654NAL0003642291001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Paxton Street Home Benevolent Society, Inc.
- EIN
- 23-2179648
- Plan number
- 506
- Location
- Harrisburg, PA
- Participants
- 18
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $52,285
- Total liabilities (EOY)
- $23,715
- Net assets (EOY)
- $28,570
- Employer contributions
- $313,746
- Participant contributions
- $26,949
- Total income / additions
- $341,162
- Benefits paid
- $208,083
- Administrative expenses
- $1,668
- Total expenses
- $354,441
- Net increase / (decrease)
- -$13,279
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Capital Blue Cross | ADMIN | $8,769 | not reported in the loaded dataset |
| Pci Insurance Agency | BROKER | $7,784 | not reported in the loaded dataset |
| Pci Insurance Agency | BROKER | $6,822 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $6,642 | not reported in the loaded dataset |
| Pci Insurance Agency | BROKER | $6,175 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $5,766 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $4,701 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $4,446 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $1,668 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $1,535 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $1,252 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $1,235 | not reported in the loaded dataset |
| Pci Insurance Agency | BROKER | $540 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $540 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $367 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $102 | not reported in the loaded dataset |